Cochrane · systematic review · CD013666

Short‐acting inhaled bronchodilators for cystic fibrosis

Smith, S, Rowbotham, NJ, Edwards, CT · Cochrane Database of Systematic Reviews · 2022 · Cochrane Library

SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
21
current version
GRADE rated
9
No studies
12
Included studies
NR
No studies 12 · 57.1%Ungraded 0 · 0%Very low 9 · 42.9%Low 0 · 0%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Short‐acting inhaled beta‐2 agonists compared with placebo for cystic fibrosis

Population: children and adults with cystic fibrosis
7 questions
OutcomeEffectEvidenceStatus / GRADE
Change from baseline in FEV1 (% predicted)
Short‐acting inhaled beta‐2 agonists vs placebo
no estimate extracted4 studies · 67 participantsVery low
Downgraded: risk of bias, imprecision
Quality of life Â
Short‐acting inhaled beta‐2 agonists vs placebo
no estimate extractedNRNo studies
Number of exacerbations(as reported by number of hospitalisations and number of courses and days on antibiotics)
Short‐acting inhaled beta‐2 agonists vs placebo
no estimate extracted1 study · 21 participantsVery low
Downgraded: risk of bias, imprecision
Participant‐reported symptom score: cough, wheeze and exercise tolerance
Short‐acting inhaled beta‐2 agonists vs placebo
no estimate extracted1 study · 22 participantsVery low
Downgraded: risk of bias, imprecision
Adverse events Â
Short‐acting inhaled beta‐2 agonists vs placebo
no estimate extracted3 studies · 47 participantsVery low
Downgraded: risk of bias, imprecision
Change from baseline in FVC (% predicted)
Short‐acting inhaled beta‐2 agonists vs placebo
no estimate extracted5 studies · 100 participantsVery low
Downgraded: risk of bias, imprecision
Sputum volume (mL)
Short‐acting inhaled beta‐2 agonists vs placebo
no estimate extracted1 study · 16 participantsVery low
Downgraded: risk of bias, imprecision

Short‐acting inhaled muscarinic antagonists compared with placebo for cystic fibrosis

Population: children and adults with cystic fibrosis
7 questions
OutcomeEffectEvidenceStatus / GRADE
Change from baseline in FEV1 (% predicted)
Short‐acting inhaled muscarinic antagonists vs placebo
no estimate extracted1 study · 11 participantsVery low
Downgraded: risk of bias, imprecision
Quality of life Â
Short‐acting inhaled muscarinic antagonists vs placebo
no estimate extractedNRNo studies
Number of exacerbations Â
Short‐acting inhaled muscarinic antagonists vs placebo
no estimate extractedNRNo studies
Participant‐reported symptom score Â
Short‐acting inhaled muscarinic antagonists vs placebo
no estimate extractedNRNo studies
Adverse events Â
Short‐acting inhaled muscarinic antagonists vs placebo
no estimate extracted2 studies · 27 participantsVery low
Downgraded: risk of bias, imprecision
Change from baseline in FVC (% predicted) Â
Short‐acting inhaled muscarinic antagonists vs placebo
no estimate extractedNRNo studies
Sputum volume (mL) Â
Short‐acting inhaled muscarinic antagonists vs placebo
no estimate extractedNRNo studies

Short‐acting inhaled beta‐2 agonists compared with short‐acting inhaled muscarinic antagonists for cystic fibrosis

Population: children and adults with cystic fibrosis
7 questions
OutcomeEffectEvidenceStatus / GRADE
Change from baseline in FEV1 (% predicted) Â
Short‐acting inhaled beta‐2 agonists vs short‐acting inhaled muscarinic antagonists
no estimate extractedNRNo studies
Quality of life Â
Short‐acting inhaled beta‐2 agonists vs short‐acting inhaled muscarinic antagonists
no estimate extractedNRNo studies
Number of exacerbations Â
Short‐acting inhaled beta‐2 agonists vs short‐acting inhaled muscarinic antagonists
no estimate extractedNRNo studies
Participant‐reported symptom score Â
Short‐acting inhaled beta‐2 agonists vs short‐acting inhaled muscarinic antagonists
no estimate extractedNRNo studies
Adverse events Â
Short‐acting inhaled beta‐2 agonists vs short‐acting inhaled muscarinic antagonists
no estimate extracted1 study · 17 participantsVery low
Downgraded: risk of bias, imprecision
Change from baseline in FVC (% predicted) Â
Short‐acting inhaled beta‐2 agonists vs short‐acting inhaled muscarinic antagonists
no estimate extractedNRNo studies
Sputum volume (mL) Â
Short‐acting inhaled beta‐2 agonists vs short‐acting inhaled muscarinic antagonists
no estimate extractedNRNo studies